Jon Byron Suzuki, DDS, PHD, MBA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DS023235L Issued in PA

Practice address

3223 N Broad St
336
Philadelphia, PA 19140-5007

Phone

(215) 707-7667

Fax

(215) 707-0042

NPI assigned

Feb 25, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1144542598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 N BROAD ST",
            "address_2": "336",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405007",
            "telephone_number": "215-707-7667",
            "fax_number": "215-707-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 N BROAD ST",
            "address_2": "336",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405007",
            "telephone_number": "215-707-7667",
            "fax_number": "215-707-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUZUKI",
        "first_name": "JON",
        "middle_name": "BYRON",
        "name_prefix": "Dr.",
        "credential": "DDS, PHD, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS023235L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert M Sutton, M.D.
• William Andrew Sutton, MD
• Swathi Suyamburajan, MBBS
• Alexandria Celeste Suydam, OTD
• Danielle A Suzenski, PA-C
• Yoshikazu Suzuki, MD, MS
• Boris Sverhin-Babiner, D.M.D.
• Svne Pharma Inc
• Jakub Svoboda, MD
• Ramona Faith Swaby, M.D.

• Periodontics in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Periodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.